Fundamentals of Biostatistics
8th Edition
ISBN: 9781305268920
Author: Bernard Rosner
Publisher: Cengage Learning
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Chapter 7, Problem 71P
The combination of photochemotherapy with oral methoxsalen (psoralen) and ultraviolet A radiation (called PUVA treatment) is an effective treatment for psoriasis. However, PUVA is mutagenic, increases the risk of squamous-cell skin cancer. and can cause irregular, pigmented skin lesions. Stern et al. [4] performed a study to assess the incidence of melanoma among patients treated with PUVA. The study identified 1380 patients with psoriasis who were first treated with PUVA in 1975 or 1976. Patients were subdivided according to the total number of treatments received (<250 or >250 from 1975 to 1996). Within each group, the observed number of melanomas was determined from 1975 to 1996 and compared with the expected number of melanomas as determined by published U.S. age- and gender-specific melanoma incidence rates. The results were as in Table 7.8.
Interpret the results for Problems 7.69 and 7.70.
Suppose we want to compare the observed and expected number of
Provide a 95% Cl for the expected number of events in the group with > 250 treatments.
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Patients immobilized for a substantial amount of time can develop deep vein thrombosis (DVT), a blood clot in a leg or pelvis vein. DVT can have serious adverse health effects and can be difficult to diagnose. On its website, drug manufacturer Pfizer reports the outcome of a study looking at the effectiveness of the drug Fragmin (dalteparin) in preventing DVT in immobilized patients. Of the 1518 randomly chosen immobilized patients given Fragmin, 42 experienced a complication from DVT. Of the 1473 randomly chosen immobilized patients given a placebo, 73 experienced a complication from DVT.
Compute the proportion (risk) of patients experiencing DVT complications for immobilized patients treated with Fragmin. (Enter the proportion with 4 decimal places. DO NOT enter the percent.)
Patients immobilized for a substantial amount of time can de flop deep vein thrombosis (DVT), a blood
clot in a leg or pelvis vein. DVT can have serious adverse health effects and can be difficult to diagnose.
On its website, drug manufacturer Pfizer reports the outcome of a study looking at the effectiveness of the
drug Fragmin (dalteparin) compared with that of a placebo in preventing DVT in immobilized patients. In
a double-blind, multinational study, severely immobilized patients were randomly assigned to receive daily
subcutaneous injections of either Fragmin or a placebo for 12 to 14 days and were followed for 90 days. The
results, in number of patients experiencing a complication from DVT (including death), are summarized in
the table below.
Treatment outcome
Complication
No complication
Drug
Fragmin
42
1476
1518
Placebo
73
1400
1473
Find and interpret a 95% confidence interval for the ratio of the odds of a complication when taking Fragmin
versus the odds of a complication when…
Coronary stenosis (narrowing of the artery supply to the heart muscle) is a direct cause of heart disease. A theory suggests that chronic cytomegalovirus (CMV) infection narrows coronary vessels and leads to coronary heart disease. To test this theory, 75 patients undergoing angioplasty were followed for 6 months following their procedure. The 49 patients who were seropositive for CMV experienced an average luminal diameter reduction of 1.24 mm (s1 = 0.83 mm). In contrast, the 26 patients who were seronegative for CMV experienced an average luminal reduction of 0.68 (s2 = 0.69).k Test whether this mean difference in luminal reduction is significant. Show all hypothesis-testing steps. Do the data support the hypothesis that chronic CMV virus infection plays a role in coronary luminal reduction?
Chapter 7 Solutions
Fundamentals of Biostatistics
Ch. 7.3 - What is the difference between a type I and type...Ch. 7.3 - What is the difference between the critical-value...Ch. 7.3 - Several studies have shown that women with many...Ch. 7.7 - In the BMD study referred to in Case Study 2 (p....Ch. 7.7 - Prob. B.2RECh. 7.7 - Prob. B.3RECh. 7.9 - Prob. C.1RECh. 7.9 - Prob. C.2RECh. 7.9 - How much power did the test in Review Question...Ch. 7 - The mean serum-creatinine level measured in 12...
Ch. 7 - The mean serum-creatinine level measured in 12...Ch. 7 - The mean serum-creatinine level measured in 12...Ch. 7 - The mean serum-creatinine level measured in 1 2...Ch. 7 - The mean serum-creatinine level measured in 12...Ch. 7 - The mean serum-creatinine level measured in 12...Ch. 7 - The mean serumcreatinine level measured in 12...Ch. 7 - The mean serumcreatinine level measured in 12...Ch. 7 - Plasma-glucose levels are used to determine the...Ch. 7 - Plasma-glucose levels are used to determine the...Ch. 7 - Plasma-glucose levels are used to determine the...Ch. 7 - Suppose the incidence rate of myocardial...Ch. 7 - Suppose the incidence rate of myocardial...Ch. 7 - Suppose the incidence rate of myocardial...Ch. 7 - Suppose the incidence rate of myocardial...Ch. 7 - Suppose the incidence rate of myocardial...Ch. 7 - Suppose the annual incidence of asthma in the...Ch. 7 - Prob. 18PCh. 7 - Suppose the annual incidence of asthma in the...Ch. 7 - Prob. 20PCh. 7 - Ribosomal 5S RNA can be represented as a sequence...Ch. 7 - Ribosomal 5S RNA can be represented as a sequence...Ch. 7 - Ribosomal 5S RNA can be represented as a sequence...Ch. 7 - Ribosomal 5S RNA can be represented as a sequence...Ch. 7 - Ribosomal 5S RNA can be represented as a sequence...Ch. 7 - Suppose we identify 50 women 50 to 54 years of age...Ch. 7 - The drug erythromycin has been proposed to...Ch. 7 - A pilot study of a new antihypertensive agent is...Ch. 7 - A pilot study of a new antihypertensive agent is...Ch. 7 - The proportion of deaths due to lung cancer in...Ch. 7 - The proportion of deaths due to lung cancer in...Ch. 7 - The proportion of deaths due to lung cancer in...Ch. 7 - The proportion of deaths due to lung cancer in...Ch. 7 - The proportion of deaths due to lung cancer in...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Iron-deficiency anemia is an important nutritional...Ch. 7 - Suppose a new test is proposed to identify...Ch. 7 - Suppose a new test is proposed to identify...Ch. 7 - Suppose a new test is proposed to identify...Ch. 7 - Suppose a new test is proposed to identify...Ch. 7 - Suppose a new test is proposed to identify...Ch. 7 - The mortality experience of 8146 male employees of...Ch. 7 - The mortality experience of 8146 male employees of...Ch. 7 - The mortality experience of 8146 male employees of...Ch. 7 - The mortality experience of 8146 male employees of...Ch. 7 - Researchers have reported that the incidence rate...Ch. 7 - Researchers have reported that the incidence rate...Ch. 7 - Researchers have reported that the incidence rate...Ch. 7 - Researchers have reported that the incidence rate...Ch. 7 - Left ventricular mass (LVM) is an important risk...Ch. 7 - Left ventricular mass (LVM) is an important risk...Ch. 7 - Left ventricular mass (LVM) is an important risk...Ch. 7 - Left ventricular mass (LVM) is an important risk...Ch. 7 - Prob. 60PCh. 7 - Previous studies have shown that supplementing the...Ch. 7 - Prob. 62PCh. 7 - Prob. 63PCh. 7 - Previous studies have shown that supplementing the...Ch. 7 - Prob. 65PCh. 7 - Prob. 66PCh. 7 - Refer to Data Set NIFED.DAT at...Ch. 7 - The combination of photochemotherapy with oral...Ch. 7 - The combination of photochemotherapy with oral...Ch. 7 - The combination of photochemotherapy with oral...Ch. 7 - Prob. 72PCh. 7 - Breast cancer is strongly influenced by a womans...Ch. 7 - Prob. 74PCh. 7 - An investigator wants to test a new eye drop that...Ch. 7 - Prob. 76PCh. 7 - Table 7.10 gives the itching scores reported by...Ch. 7 - Table 7.10 gives the itching scores reported by...Ch. 7 - Table 7.10 gives the itching scores reported by...Ch. 7 - Table 7.10 gives the itching scores reported by...Ch. 7 - Prob. 81PCh. 7 - Prob. 82PCh. 7 - Concurrent sexual partnerships are widely believed...Ch. 7 - Prob. 84PCh. 7 - Prob. 85PCh. 7 - Prob. 86PCh. 7 - Consider the birthweight data in Example 7.2. What...Ch. 7 - Consider the birthweight data in Example 7.2. Now...Ch. 7 - Prob. 89PCh. 7 - A screening program for neuroblastoma (a type of...Ch. 7 - A screening program for neuroblastoma (a type of...Ch. 7 - Prob. 92PCh. 7 - Prob. 93PCh. 7 - Prob. 94PCh. 7 - Prob. 95PCh. 7 - Prob. 96PCh. 7 - An experiment was performed to assess the efficacy...Ch. 7 - Medical errors are common in hospitals throughout...Ch. 7 - Prob. 99PCh. 7 - Prob. 100PCh. 7 - Prob. 101PCh. 7 - Prob. 102PCh. 7 - Prob. 103PCh. 7 - Prob. 104PCh. 7 - Osteoporosis is an important cause of morbidity in...Ch. 7 - Osteoporosis is an important cause of morbidity in...Ch. 7 - Osteoporosis is an important cause of morbidity in...Ch. 7 - Prob. 108PCh. 7 - Prob. 109PCh. 7 - Prob. 110PCh. 7 - Prob. 111PCh. 7 - Prob. 112PCh. 7 - Prob. 113PCh. 7 - A study was conducted in Sweden to relate the age...Ch. 7 - A study was conducted in Sweden to relate the age...Ch. 7 - A study was conducted in Sweden to relate the age...Ch. 7 - Prob. 117PCh. 7 - Prob. 118PCh. 7 - Prob. 119PCh. 7 - Prob. 120PCh. 7 - Prob. 121P
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